Indiana
Professional Licensing Agency
O RUTH SISK PETTERSON
Controlled Substance Registration - Physician
License number
01031073B
Date granted
08/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R #1 BOX 236, RIDGEVILLE IN 47380
indianalicensing.org
ID 5914822
LAST UPDATED 2026-04-26 11:43:22 UTC
LAST UPDATED 2026-04-26 11:43:22 UTC
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